Please print off this form, complete as many details as possible IN BLACK INK and fax to: 00 45 75 85 89 80 If you do not receive a response within 24 hours please assume there is a communication problem and please refax

• Name: ______________________________________

• Email: ______________________________________

• Fax Number: _________________________________

• Full Postal Address: ____________________________
  

  ____________________________________________

• City/Country: _________________________________

  I WISH TO RESERVE / ENQUIRE (Please state which) the following hotels:

  1st Choice:___________________________________

  2nd Choice:___________________________________

  3rd Choice:___________________________________

• Arrival date: _______________________________

• Departure date: _____________________________

• Number of nights: ___________________________

• Room Size: Single / Twin / Double / Triple / Quad

• Room standard: Standard / Executive

• Total number in party:___________________________

• Ages of any children:____________________________

• Any special requirements ?: _____________________

• Price per night: _______________________________

  For First Night Guarantee:

• Credit card #:__________________________________

• Expiry Date & Name: ___________________________

• Additional Information:_________________________

  _________________________________________________

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